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HomeMy WebLinkAboutPermit Electrical 2001-7-19 U~/~~/~O ~u:~~ "Q";)UJ 1':0 0)00::1 i " I //~~ ',I' Ol-:" r ;::,rru ur... ~r.", .1;4:1 ~UUJ. The, following proje,ct as submitted tias"ih~ following zoning, and does not require specific land use approvaL ; i Zoninc 225 ~J.t Ul .:u.;t\loloJ. Date SPRINGFIELD,! OREGON 97477 INSPECTION REQUEST :Aut7!tJ~g1'69ature OFFICE: 726:-3159 , 1. LOCATIO~ j>F INSTALLATJON ~~7 )7~r~ ? ~ ! LEGAL DESCRImON I /7 ~z ~ 2 r::>~ , &?~ 9~ . -' \. , . - ; i : JOB DESCRIPTION f" "/~~~~#JL~~(?~~~~ i I Permits are non-transferable ana expire if work is not started within 160 days '. of'issuance or if wotk is suspended for 180 days.: ! ELECTRICAL PERHIT APPLICATION , Ci ty Job liUlllber ~~/y~/~/ COHFIZI~ PEE S~ULE .J5ELOll 3. . New Residential-Single or Multi-Family per dwelling unit. Se'rvice Included: Items Cost . A. 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Kanuf'd Home. or Modular "Dwelling Service or Feeder Sum .M.5. $ 85.00 $92~.dJ/!> .' $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 , . $130.00 $300.00 $ ~O.OO /~.~ . . i ' _ 2. CONTRACTOR INSTALLATION ONLY ~. Services or Feeders ! I . .. . : '~ "j , Installation, Alterations Electrical c~ntractori~\(C\~\d:~~fr'\r\C or, Relocation: Address ;;)..\""\ ~ \..Q), ~~ ,200 amps or less ::2 .. i Q' \r;' ,~; 201'amps to 400 amps Clty.~~~J'\ 0 Phon~~\-~'-'f~1 401 amps to. 600 amps ''J. ' , i 601 amps to 1000 amps Supervisor License Number ~~ ct')~' Over 1000 amps/volts , '\ I Reconnec t Only Expiration O~te \D\D\ 6\ i Constr Contrl Number \\&S~ I Expiration Ohe C. Temporary Services or Feeders Installation~ Alteration or Relocation ~\rC)r< \O~~':' _ Signature of Supervising Electrician'- /J ~~__~~; ~f~./ "- D. O....ners It:e~/JI.JVA- E<;7-;"t;~ I/c:. , . Address l'c:J, ~A' //7 I . Ci tYN!~7'8f~!L..(e Phone, ~4'4' -o~ I "?/~ I OWER INSTALLAtiON I The installaJion is being made In property I ovn ~hich is not intended for sale, lease or rent, Ovners Signa~ure: I ---------- -:-r-- / ,,-- DATE: . 7//7' /t:J I RECEIPT ,4: I I (P /5'L RECEIVED 'BY :/'/ ,A( ~ .z-t ,P" '- 200 amp~'or less $ ~O.OO 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits .' Ne...., Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 //A..4t:> Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 2: State Surcharge 3% Administrative Fee TOTAL S 40.00 $ ~O.OO $ 20.00 $ 36.00 ~,~ --L- 9/7? ~ ~Y2,39 27~~ /~c:J9~. 7~ ; <f Oregon Construction Contra ~s Board >> License Details Page 1 of 1 ". OREGON CONSTRUCTION CONTRACTORS BOARD Query Details Details on Oregon License: 17252 NAME: REYNOLDS ELECTRIC INC ADDRESS: 2175 W 2ND AVE EUGENE OR 97402-7103 WORK PHONE NUMBER: 541-343-7297 LICENSE STATUS: Active EXPIRATION DATE: 2/8/2003 DATE FIRST LICENSED: 4/20/1977 ENTITY TYPE: Corporation LICENSE CATEGORY: General Contractor/All EMPLOYER STATUS: NON-EXEMPT BOND COMPANY" NATIONWIDE MUTUAL " INSURANCE CO BOND AMOUNT: $15,000 BOND EFFECTIVE TO: 2/8/2003 View Bond History INSURANCE COMPANY' FEDERATED MUTUAL "INSCO INSURANCE AMOUNT: $1,000,000 INSURANCE EFFECTIVE 4/9/2001 TO: View Insurance History View Claims History View Associated Names View X-Reference Licenses View SIC Codes View Building Codes Division License Details QUERY MENU CCB HOME Send mail to Web Administrator with questions or comments about this web site, Last modified: February 15, 2001 State of Oregon Liability Statement http://ccbed.ccb.state. or. us/B ill/regno222. asp 03/02/2001 .oI1lllI